Well, the lesson has been a slow (and yes, painful) process of learning to listen.

Listen to my body.Listen to my pain threshold.Listen to the instructions on when to take my medications.Listen to the Spirit as I make decisions about when and where I will spend my energy and my time.

But there’s something else I’ve realized in a personal way, a reality that anyone with a chronic health condition already knows. (And I’ve been slow on the uptake!) It’s simply this: Being healthy is a lot cheaper than being sick. Doctor’s appointments, co-pays, medical equipment, prescriptions, procedures… it all adds up!

I am grateful for good health insurance that covers a lot of the cost of my care. But it is expensive. It eats into the little bits of extra cash that we might spend on “fun” things. An office visit co-pay is the cost of going out for dinner (a cheap dinner, mind you.) The cost of a prescription would fill my car with gasoline. And so it goes.

People with chronic illnesses have to count the cost, in every way: in time, money, physical activity and emotional energy. We lose patience with people who offer platitudes. (Seriously. “I’m praying for you” means nothing unless your prayers are sincere and tuned in to my current state.) It bears repeating that chronic illnesses are not usually the fault of the person who has them. Genes, environmental factors, access to care, and sometimes, dumb luck may mean that one person has a chronic condition, and one person does not. A simple tumble on my patio resulted in my injury. Imagine what I might be going through if the incident had been a car accident or on-the-job injury!

In the midst of all of my personal challenges, which are minimal compared to the issues that many of my patients and their families face, I know God is present. I know the love of the Divine. I know the gifts of humor, of self-care, of compassionate Presence, of close friends and advisors who ‘get me’. I feel God’s mercy every day.

And I also know that there are many who struggle alone. And if I were Empress of the Universe, I’d fix that.

For now, I’ll settle for electing officials who want every citizen to receive high quality and affordable health care. That means I’m a caring person who would not wish others to suffer when there are treatments, physicians, therapists, prescriptions, and rehab options available to them — if only they had access through affordable and comprehensive health insurance.

I’ll keep advocating for all of us. Because — you are beloved. And so am I. And we are worth it.